PACIFIC REDWOOD MEDICAL GROUP INC
NPI 1033103676
Emergency Medicine in Ukiah, CA

Q: What is Pacific Redwood Medical Group Inc's NPI number?

The NPI number for Pacific Redwood Medical Group Inc is 1033103676. It was assigned to this organization in the NPPES registry on September 9, 2005.

Q: What is Pacific Redwood Medical Group Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since September 09, 2005

275 HOSPITAL DR, UKIAH, CA 95482(707) 462-7900(707) 462-7947 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2018, Jul 20, 2018, Jan 13, 2016 (3 updates tracked since 2016).

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About Pacific Redwood Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC REDWOOD MEDICAL GROUP INC (NPI 1033103676) is a healthcare organization registered as an emergency medicine in Ukiah, California and active in the NPI registry since September 2005. The organization maintains a secondary practice location in Ukiah and lists Gary W Fausone, President, as its authorized official.

NPPES Registry Identity

NPI1033103676

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NamePACIFIC REDWOOD MEDICAL GROUP INC

Location Address275 HOSPITAL DRUkiah, CA 95482

Mailing AddressPo Box 2800Ukiah, CA 95482-2800 · (707) 462-7900 · Fax (707) 462-7947

Phone(707) 462-7900

Fax(707) 462-7947

Organization SubpartNo

Authorized OfficialGary W FausonePresident · (707) 462-7900

Enumeration DateSeptember 9, 2005

Last NPPES UpdateJuly 31, 20183 updates tracked since enumeration

✔ NPI 1033103676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X

Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X

Also ListedHospitalistTaxonomy 208M00000X

275 HOSPITAL DR, Ukiah, CA 95482

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Secondary Practice Location 1

Location 1232 Hospital Dr Ste BUkiah, CA 95482-4562 · Phone (707) 467-4994

Other Identifiers 4

OtherZZZ06060ZCA · Blue Shield

Other352149100Dol (dept Of Labor)

Other17165692005CA · State Compensation Ins

MedicaidGR0093400CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANESTHESIA MANAGEMENT SERVICES OF CALIFORNIA INC

Anesthesiology

275 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (707) 463-3111

DR. RONALD LANDIS GESTER MD

Emergency Medicine

275 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (707) 462-7900

MRS. REBECCA RENEE HALE RN

Registered Nurse

275 HOSPITAL DR, UKIAH VALLEY MEDICAL HOSPITAL
UKIAH, CA 95482

Mendocino County (707) 462-3111

JASON DON ULLYOTT PA

Physician Assistant

275 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (707) 462-7900

ERIN BAINBRIDGE N.P.

Nurse Practitioner (Family)

275 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (707) 462-3111

RCOA-ADVENTIST HEALTH, LLC

Clinic/Center (Radiology, Mobile)

275 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (866) 293-3500

CHARLIE EDWARD EVANS MD

Emergency Medicine

275 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (707) 462-7900

BINITA GHOSH

Hospitalist

275 HOSPITAL DR
UKIAH, CA 95482

Mendocino County (707) 462-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Redwood Medical Group Inc's NPI number?

The NPI number for Pacific Redwood Medical Group Inc is 1033103676. It was assigned to this organization in the NPPES registry on September 9, 2005.

Where is Pacific Redwood Medical Group Inc located?

Pacific Redwood Medical Group Inc is located at 275 Hospital Dr, Ukiah, CA 95482. The listed phone number is (707) 462-7900.

What is Pacific Redwood Medical Group Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Pacific Redwood Medical Group Inc was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.